Risk factors for surgical site infection after major oral oncological surgery: the experience of a tertiary referral hospital in China

Objective To identify risk factors associated with surgical site infection (SSI) after major oral oncological surgery. Methods This retrospective study reviewed data from patients that underwent major surgery for oral cancer at a tertiary referral hospital in China between January 2005 and July 2016. SSI was diagnosed within 30 days. Demographic, cancer-related, preoperative, perioperative and postoperative data were analysed using descriptive statistics and univariate and multivariate analyses of the risk factors for SSI. Results A total of 786 patients were enrolled, of whom 125 had SSI (15.9%), which were all incisional. Independent risk factors for SSI, identified by multivariate analysis, were diabetes mellitus (odds ratio [OR] 2.147, 95% confidence interval [CI] 1.240, 3.642), prior radiotherapy (OR 4.595, 95% CI 1.293, 17.317) and oral–neck communication (OR 2.838, 95% CI 1.263, 7.604); and factors reflecting large extent resections were tracheostomy (OR 2.235, 95% CI 1.435, 3.525), anterolateral thigh flap (OR 1.971, 95% CI 1.103, 3.448) and latissimus dorsi flap (OR 4.178, 95% CI 1.325, 13.189). Conclusions Multiple risk factors were associated with SSI after major oral oncological surgery. To minimize SSI risk, surgeons managing oral cancer patients should have a better understanding of the risk factors, including diabetes mellitus, prior radiotherapy, tracheostomy, oral–neck communication and flap reconstruction.

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Risk Factors for Mortality in Severely Ill Children Admitted to a Tertiary Referral Hospital in Malawi

American Journal of Tropical Medicine and Hygiene ◽

10.4269/ajtmh.19-0127 ◽

2019 ◽

Vol 101 (3) ◽

pp. 670-675 ◽

Cited By ~ 3

Author(s):

Fatsani Ngwalangwa ◽

Chikondi H. A. Phiri ◽

Queen Dube ◽

Josephine Langton ◽

Helena Hildenwall ◽

...

Keyword(s):

Risk Factors ◽

Referral Hospital ◽

Tertiary Referral ◽

Tertiary Referral Hospital

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Comparison of urinary amino acid excretory pattern in patients with type 2 diabetes mellitus and non-diabetic healthy controls at a tertiary referral hospital in India

Diabetes & Metabolic Syndrome Clinical Research & Reviews ◽

10.1016/j.dsx.2020.04.006 ◽

2020 ◽

Vol 14 (4) ◽

pp. 357-362

Author(s):

Saziya Bidi ◽

D.C. Reshma ◽

B. Srinivas ◽

Praveen Sharma ◽

Shrimanjunath Sankanagoudar

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Amino Acid ◽

Referral Hospital ◽

Healthy Controls ◽

Tertiary Referral ◽

Tertiary Referral Hospital ◽

Urinary Amino

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Risk Factors for Surgical Site Infection in Patients Undergoing Free and Pedicled Myocutaneous Flap Reconstruction After Oral Cancer Resection

Journal of Oral and Maxillofacial Surgery ◽

10.1016/j.joms.2018.12.028 ◽

2019 ◽

Vol 77 (5) ◽

pp. 1075-1081 ◽

Cited By ~ 4

Author(s):

Takaya Makiguchi ◽

Satoshi Yokoo ◽

Yuki Kanno ◽

Jun Kurihara ◽

Keisuke Suzuki

Keyword(s):

Risk Factors ◽

Oral Cancer ◽

Surgical Site Infection ◽

Myocutaneous Flap ◽

Site Infection ◽

Flap Reconstruction ◽

Cancer Resection

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A study to assess the risk factors of surgical site infection among mother underwent cesarean section

International Journal of Research in Pharmaceutical Sciences ◽

10.26452/ijrps.v11i4.3137 ◽

2020 ◽

Vol 11 (4) ◽

pp. 5234-5237

Author(s):

Parimala L ◽

Prathiba P

Keyword(s):

Diabetes Mellitus ◽

Risk Factors ◽

Cesarean Section ◽

Surgical Site Infection ◽

Emergency Surgery ◽

Assessment Scale ◽

Infection Prophylaxis ◽

Site Infection ◽

Previous Surgery ◽

Site Assessment

Surgical site infection (SSI) is the second most normal irresistible inconvenience after urinary tract disease following cesarean section (CS). Surgical site infection after a cesarean area is related with expanded maternal horribleness, delayed emergency clinic remain and expanded clinical expenses. The hazard for creating SSI has noteworthily diminished over the three decades, fundamentally inferable from progress in cleanliness condition anti-infection prophylaxis, sterile methodology and other practice. Despite this decrease, the occurrence of surgical site infection is expected in the continuous rise in the incidence of cesarean delivery. A quantitative approach with descriptive study design was chosen to assess the risk factor of surgical site infection among mothers who underwent cesarean section at Saveetha Medical College Hospital. Sixty mothers who fulfil inclusive criteria were selected by purposive sampling technique. Sociodemographic variables were collected by semi-structured questionnaire, and the risk factors were assessed by surgical site assessment scale. The result of the study shows that 22(36.6%) of the mothers were obese, 34 (56.6%) were anaemia, 22 (36.6%) had hypertension, 7 (11.6%) had diabetes mellitus,37 (61.6%) were prolonged hospitalized, 9(15%) of study subject had previous surgery and 18 (30%) of study subject had emergency surgery. The surgical site assessment scale reveals that 31(51.6%) comes under the no-risk category,29(48.3 %) comes under the risk among preoperative mothers, and 22(36.6%) comes under no risk, 38 (63.3 %) comes under risk among post-operative mothers who underwent cesarean section. Thus the factors such as anaemia, hypertension, diabetes mellitus, prolonged hospital stay, previous surgery, and emergency surgery increase the risk for surgical site infection among mothers who underwent cesarean section.

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